Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $860.00 / $8,229.00	Facility		$150.65	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $164.21 / $282.73	Professional		$150.65	$164.21	$282.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $177.33 / $177.33	Professional		$177.33	$177.33	$177.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $175.79 / $266.60	Professional		$145.06	$175.79	$266.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $202.62 / $233.74	Facility		$147.62	$202.62	$233.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $202.62 / $289.45	Professional		$159.93	$202.62	$289.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $178.03 / $178.03	Facility		$178.03	$178.03	$178.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $228.26 / $339.29	Professional		$153.96	$228.26	$339.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.15	Professional		$32.34	$32.34	$188.15
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $210.58 / $320.19	Professional		$148.44	$210.58	$320.19